WAH-ter
Macronutrient
The most essential nutrient — you can survive weeks without food but only days without water. It's involved in literally every function in your body.
| Group | Recommended | Source |
|---|---|---|
| Adult male | 3.7L/day total water (from all beverages and food) | IOM AI |
| Adult female | 2.7L/day total water | IOM AI |
| Pregnancy | 3.0L/day | IOM |
| Children | 1.0-2.4L/day depending on age | IOM |
| Older adults | Same as adults but higher risk of inadequate intake due to reduced thirst; proactive monitoring needed | IOM/ESPEN |
| Food | Amount | Where |
|---|---|---|
| Cucumber | 96g water per 100g | global |
| Watermelon | 91g per 100g | global |
| Oranges | 86g per 100g | global |
| Lettuce | 95g per 100g | global |
| Tomato | 94g per 100g | global |
| Coconut water | 95g per 100g (with natural electrolytes) | southeast-asia |
| Yogurt | 85g per 100g | global |
| Buttermilk (chaas/lassi) | 90g per 100g | south-asia |
Mild: Thirst, dry mouth, dark urine, mild headache, reduced concentration (1-2% body mass deficit)
Moderate: Significant fatigue, dizziness, rapid heartbeat, reduced urine output, decreased exercise performance (3-5% deficit)
Severe: Confusion, delirium, organ failure, seizures, death (>10% body mass deficit can be fatal)
Time to onset: Mild symptoms within hours of inadequate intake; severe dehydration can be fatal within 3-5 days without any water intake
Upper limit: Kidneys can excrete ~0.8-1.0L/hour maximum. Water intoxication (hyponatremia) occurs with intake exceeding excretion capacity, typically >6L over a few hours
Hyponatremia (<135 mEq/L): nausea, headache, confusion. Severe (<120 mEq/L): seizures, cerebral edema, death. Exercise-associated hyponatremia affects marathon runners who overhydrate
Near 100% absorbed in GI tract (stomach and small intestine); very rapid (up to 1L/hour from empty stomach)
Helped by: Electrolytes (sodium enhances water absorption via SGLT1 co-transport — basis of ORS), Small frequent sips (better absorbed than large boluses), Cool temperature (absorbed faster than warm)
Hindered by: Osmotic diarrhea (reduces net absorption), Vomiting, High altitude (increased insensible losses), Alcohol and caffeine (mild diuretic effect)
Cooking adds water to dried foods (rice, pasta, beans absorb water during cooking) and drives off water from fresh foods (vegetables lose water during sauteing/roasting). Soups and stews are excellent hydration vehicles. Boiling can leach water-soluble nutrients.
Evidence grades: A — meta-analyses / large trials; B — cohort studies & guidelines; C — expert consensus. Links open in a new tab.